Kindergarten Pre-Registration Form
Dear 2018-2019 Kindergarten Families:

It's time to begin our Pre-Registration of the incoming 2018-2019 Kindergarten class.

All children who reside in Durham and will be 5 years of age on or before October 15, 2018 are eligible for kindergarten in the fall. ***Please complete the pre-registration form if your child is not currently a Pre-Kindergarten student with Mrs. Merrill.*** If you have questions, please contact the Durham Community School office by calling 353-9333.

If you know of anyone who lives in Durham and has a child who will be coming to school in the fall, please forward this information to them.

Informational night will take place on April 12, 2018.

Screening will take place on May 11, 2018. Please call the office at 353-9333 to schedule an appointment.

I look forward to welcoming you to Durham Community School.

Sincerely,
Will Pidden

STUDENT
Last Name: *
Your answer
First Name: *
Your answer
Middle Name:
Your answer
Gender: *
Date of Birth: *
Your answer
Home Phone:
XXX-XXX-XXXX
Your answer
Mailing Address:
Street
Your answer
Mailing Address:
City/Town
Your answer
Mailing Address:
State
Your answer
PARENT 1
Parent 1:
Last Name, First Name
Your answer
Parent 1 Relationship to Student:
Your answer
Parent 1 Cell Phone:
Your answer
Parent 1 Email Address:
Your answer
PARENT 2
Parent 2:
Last Name, First Name
Your answer
Parent 2 Relationship to Student:
Your answer
Parent 2 Cell Phone:
Your answer
Parent 2 Email Address:
Your answer
Other information regarding my child that I would like the school to know about
Does your child have an IEP?
Please detail any medical needs or services your child currently has or you anticipate may be needed.
Your answer
Please detail any special considerations or services your child currently has or you anticipate may be needed.
Your answer
Is there anything else that you would like us to know about your child?
Your answer
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